Does Robotic-Assisted Computer Navigation Affect Acetabular Cup Positioning in Total Hip Arthroplasty in the Obese Patient? A Comparison Study

被引：48

作者：

Gupta, Asheesh ^{[1
]}

Redmond, John M. ^{[1
]}

Hammarstedt, Jon E. ^{[1
]}

Petrakos, Alexandra E. ^{[1
]}

Vemula, S. Pavan ^{[1
]}

Domb, Benjamin G. ^{[1
,2
]}

机构：

[1] Amer Hip Inst, Westmont, IL 60559 USA

[2] Hinsdale Orthopaed, Hinsdale, IL USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 12期

关键词：

hip replacement; robotic-assisted surgery; total hip arthroplasty; BMI; body mass index; acetabular component position; IMAGELESS NAVIGATION; COMPONENT POSITION; RISK-FACTORS; DISLOCATION; REPLACEMENT; PLACEMENT; ACCURACY; TIME;

D O I：

10.1016/j.arth.2015.06.062

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Obese populations present challenges for acetabular cup placement during total hip arthroplasty (THA). This study examines the accuracy of acetabular cup inclination and version in the obese patient with robotic-assisted computer navigation. A total of 105 patients underwent robotic-assisted computer navigation THA with a posterior approach. Groups were divided on body mass index (BMI, kg/m(2)) of <30, 30-35, and >35. There was no statistical difference between the BMI <30 (n = 59), BMI 30-35 (n = 34) and BMI >35 (n = 12) groups for acetabular inclination (P = 0.43) or version (P = 0.95). Robotic-assisted computer navigation provided accurate and reproducible placement of the acetabular cup within safe zones for inclination and version in the obese patient. (C) 2015 Elsevier Inc. All rights reserved.

引用

收藏

页码：2204 / 2207

页数：4

相关论文

共 19 条

[1] Accuracy of Acetabular Component Position in Hip Arthroplasty [J].

Barrack, Robert L. ;

Krempec, Jeffrey A. ;

Clohisy, John C. ;

McDonald, Douglas J. ;

Ricci, William M. ;

Ruh, Erin L. ;

Nunley, Ryan M. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2013, 95A (19) :1760-1768

[2] The John Charnley Award Risk Factors for Cup Malpositioning Quality Improvement Through a Joint Registry at a Tertiary Hospital [J].

Callanan, Mark C. ;

Jarrett, Bryan ;

Bragdon, Charles R. ;

Zurakowski, David ;

Rubash, Harry E. ;

Freiberg, Andrew A. ;

Malchau, Henrik .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2011, 469 (02) :319-329

[3] Total hip replacement in morbidly obese patients with osteoarthritis RESULTS OF A PROSPECTIVELY MATCHED STUDY [J].

Chee, Y. H. ;

Teoh, K. H. ;

Sabnis, B. M. ;

Ballantyne, J. A. ;

Brenkel, I. J. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2010, 92B (08) :1066-1071

[4] Risk factors for revision for early dislocation in total hip arthroplasty [J].

Conroy, Jonathan L. ;

Whitehouse, Sarah L. ;

Graves, Stephen E. ;

Pratt, Nicole L. ;

Ryan, Philip ;

Crawford, Ross W. .

JOURNAL OF ARTHROPLASTY, 2008, 23 (06) :867-872

[5] Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA: A Matched-pair Controlled Study [J].

Domb, Benjamin G. ;

El Bitar, Youssef F. ;

Sadik, Adam Y. ;

Stake, Christine E. ;

Botser, Itamar B. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2014, 472 (01) :329-336

[6] Precision and bias of imageless computer navigation and surgeon estimates for acetabular component position [J].

Dorr, Lawrence A. ;

Malik, Aamer ;

Wan, Zhinian ;

Long, William T. ;

Harris, Michael .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2007, (465) :92-99

[7] Are Morbidly Obese Patients Undergoing Total Hip Arthroplasty at an Increased Risk For Component Malpositioning? [J].

Elson, Leah C. ;

Barr, Christopher J. ;

Chandran, Shaun E. ;

Hansen, Viktor Johannes ;

Malchau, Henrik ;

Kwon, Young-Min .

JOURNAL OF ARTHROPLASTY, 2013, 28 (08) :41-44

[8] Obesity in total hip arthroplasty-does it really matter? A meta-analysis [J].

Haverkamp, Daniel ;

Klinkenbijl, Mark N. ;

Somford, Mathijs P. ;

Albers, G. H. Rob ;

van der Vis, Harm M. .

ACTA ORTHOPAEDICA, 2011, 82 (04) :417-422

[9] A Comparison Between Imageless Navigated and Manual Freehand Technique Acetabular Cup Placement in Total Hip Arthroplasty [J].

Hohmann, Erik ;

Bryant, Adam ;

Tetsworth, Kevin .

JOURNAL OF ARTHROPLASTY, 2011, 26 (07) :1078-1082

[10] Imageless navigation for insertion of the acetabular component in total hip arthroplasty -: Is it as accurate as CT-based navigation? [J].

Kalteis, T ;

Handel, A ;

Bäthis, H ;

Perlick, L ;

Tingart, M ;

Grifka, J .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2006, 88B (02) :163-167